建立团队康复新模式是提高康复水平的前提

侯树勋

doi:10.3969/j.issn.2095-252X.2016.03.002

摘要：Rehabilitation medicine is the science to alleviate the patient's disability and promote self-care and early return to the society by the research and treatment of dysfunction caused by injuries. Rehabilitation medicine is closely linked to the clinical medicine with its own characteristics, focusing on the prevention and mitigation of the dysfunction to maximum the recovery. Only closely integrated, can they be consistent with modern medicine pattern biology-psychology-sociology to meet the needs. Orthopaedics is a discipline on the research of limbs and spinal diseases, and orthopedic injuries can cause dysfunction of limbs. Rehabilitation medicine is the research of dysfunction prevention, assessment ( diagnosis ) and treatment. Combination of the two is not only the need of treatment, but the need of social development. In the developed countries in Europe and US, the treatment of orthopedic disorders has already followed bio - psycho - social model of modern medicine. Fragmented treatment of the old medical model by orthopedic surgeons, rehabilitation doctors and rehabilitation therapists has been transformed into a new model in team approach. Orthopedic surgeons, rehabilitation physicians, nurses, and rehabilitation therapists are organized as a team to go the rounds of the wards and individualize rehabilitation schedule, achieving better, faster, more comprehensive and more effective rehabilitation and reintegration into society. After the reform and opening up, the domestic clinical medicine in orthopedics has made tremendous progress and surgical techniques and instruments have been close to or reached the international advanced level with the deepening international exchanges and its continuous development. However, orthopedic rehabilitation has lagged behind in the postoperative recovery speed and extent, patient's ability to work, quality of life, and other aspects with a big gap. To address it, a standard, reasonable new model and scientiifc clinical pathway are in urgent need, combing the experience of advanced countries and China's reality. 2013, Beijing Municipal Science and Technology Commission organizes the city’s 9 hospitals of class 3 grade 1, hospitals of class 2, community health service stations and other medical institutions at all levels to carry out the research of rehabilitation pattern and clinical pathway. With tireless efforts of all participants, the project has been successfully completed. I believe the research outcomes can provide reference for the exploration of rehabilitation model suitable for China, and make contributions to list China in the advanced level of the world.